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Contact Information

MOHEGAN VOLUNTEER FIRE ASSOCIATION VOLUNTEER AMBULANCE CORPS INC
1975 EAST MAIN ST
MOHEGAN LAKE, NY10547
 Phone: 914-526-1005
 Fax: 914-526-1048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MOHEGAN VOLUNTEER FIRE ASSOCIATION VOLUNTEER AMBULANCE CORPS INC

NPI # 1639132905
LBN Legal business name MOHEGAN VOLUNTEER FIRE ASSOCIATION VOLUNTEER AMBULANCE CORPS INC
Authorized official KENNETH CHODKOWSKI - (CHAIRPERSON)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2006
Last updated 06/03/2025 - More than a year ago
Identifiers
NY License # 10366
NY Medicaid 01951275
Other 9634358 GHI
Other 900951 MVP
Other 590013205 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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